fa اثربخشی برنامه کاهش استرس مبتنی بر ذهن آگاهی (MBSR) بر کاهش افسردگی بیماران مبتلا به کمر درد مزمن عمومى General پژوهشي Original <p class="MsoNormal" dir="rtl" style="text-align: justify line-height: 150% margin: 0cm 0cm 10pt unicode-bidi: embed direction: rtl"><strong><span 14pt="" b="" font-size:="" mso-ascii-font-family:="" style="line-height: 150% font-family: ">زمینه</span></strong><strong><span b="" style="line-height: 150% font-family: GnLotus-Bold font-size: 14pt mso-ascii-font-family: GnLotus-Bold mso-bidi-font-family: "><span style="font-family: Calibri"> </span></span></strong><strong><span 14pt="" b="" font-size:="" mso-ascii-font-family:="" style="line-height: 150% font-family: ">و</span></strong><strong><span b="" style="line-height: 150% font-family: GnLotus-Bold font-size: 14pt mso-ascii-font-family: GnLotus-Bold mso-bidi-font-family: "><span style="font-family: Calibri"> </span></span></strong><strong><span 14pt="" b="" font-size:="" mso-ascii-font-family:="" style="line-height: 150% font-family: ">هدف</span></strong><strong><span b="" style="line-height: 150% font-family: GnLotus-Bold font-size: 14pt mso-ascii-font-family: GnLotus-Bold mso-bidi-font-family: "><span style="font-family: Calibri">:</span></span></strong><strong><span 14pt="" b="" font-size:="" mso-ascii-font-family:="" style="line-height: 150% font-family: "> </span></strong><span 14pt="" b="" font-size:="" major-bidi="" mso-ascii-font-family:="" mso-ascii-theme-font:="" mso-bidi-language:="" mso-hansi-font-family:="" mso-hansi-theme-font:="" new="" style="line-height: 150% font-family: " times="">درد مزمن وضعیتی تحلیل برنده است که با ویژگی</span><span 14pt="" b="" font-size:="" major-bidi="" mso-ascii-theme-font:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-hansi-theme-font:="" new="" style="line-height: 150% font-family: " times="">&shy;</span><span 14pt="" b="" font-size:="" major-bidi="" mso-ascii-font-family:="" mso-ascii-theme-font:="" mso-bidi-language:="" mso-hansi-font-family:="" mso-hansi-theme-font:="" new="" style="line-height: 150% font-family: " times="">های روانشناختی متعددی همراه است. بدین خاطر</span><strong><span 14pt="" b="" font-size:="" gnlotus-bold="" mso-ascii-font-family:="" mso-bidi-language:="" style="line-height: 150% font-family: ">،</span></strong><strong><span b="" mso-bidi-language:="" style="line-height: 150% font-family: GnLotus-Bold font-size: 14pt mso-ascii-font-family: GnLotus-Bold mso-bidi-font-family: "><span style="font-family: Calibri"> </span></span></strong><span 14pt="" b="" font-size:="" mso-bidi-language:="" style="line-height: 150% font-family: ">پژوهش حاضر با هدف تعیین اثربخشی درمان ذهن آگاهی مبتنی بر کاهش استرس بر کاهش افسردگی </span><span 14pt="" b="" font-size:="" kalinga="" mso-ascii-font-family:="" mso-bidi-language:="" mso-hansi-font-family:="" style="line-height: 150% font-family: ">بیماران مبتلا به کمر درد مزمن انجام شد.</span></p> <p class="MsoNormal" dir="rtl" style="text-align: justify line-height: 150% margin: 0cm 0cm 10pt unicode-bidi: embed direction: rtl"><strong><span 14pt="" b="" font-size:="" mso-ascii-font-family:="" style="line-height: 150% font-family: ">مواد و روش&shy;ها</span></strong><strong><span b="" style="line-height: 150% font-family: GnLotus-Bold font-size: 14pt mso-ascii-font-family: GnLotus-Bold mso-bidi-font-family: "><span style="font-family: Calibri">:</span></span></strong><span 14pt="" b="" font-size:="" kalinga="" mso-ascii-font-family:="" mso-bidi-language:="" mso-hansi-font-family:="" style="line-height: 150% font-family: "> <span lang="FA">جامعه آماری، بیماران مبتلا به درد مزمن مراجعه کننده به مراکز درمانی درد <span style="mso-spacerun: yes">&nbsp;</span>شهر تهران بودند که تعداد 23نفر از آن&shy;ها انتخاب و به شکل تصادفی در دو گروه کنترل و آزمایشی قرار گرفتند. نمونه&shy;های این پژوهش عبارت بودند از گروه آزمایش متشکل از 14 نفر که برنامه 8 جلسه&shy;ای درمان </span></span><span 12pt="" b="" font-size:="" major-bidi="" mso-ascii-theme-font:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-hansi-theme-font:="" new="" style="line-height: 150% font-family: " times="">MBSR</span><span 14pt="" b="" font-size:="" kalinga="" mso-ascii-font-family:="" mso-bidi-language:="" mso-hansi-font-family:="" style="line-height: 150% font-family: "> دریافت نمودند و گروه کنترل، متشکل از 9 نفر که این درمان را دریافت نکردند. برای جمع&shy;آوری داده&shy;ها از زیرمقیاس افسردگی </span><span 14pt="" arial="" b="" font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" style="line-height: 150% font-family: ">فرم کوتاه مقیاس&shy;های افسردگی اضطراب استرس (</span><span 12pt="" b="" font-size:="" major-bidi="" mso-ascii-theme-font:="" mso-bidi-font-family:="" mso-hansi-theme-font:="" new="" style="line-height: 150% font-family: " times="">DASS</span><span 14pt="" b="" font-size:="" mso-bidi-font-family:="" style="line-height: 150% font-family: "> &ndash; 21</span><span 14pt="" arial="" b="" font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" style="line-height: 150% font-family: ">) استفاده شد</span><span 14pt="" b="" font-size:="" kalinga="" mso-ascii-font-family:="" mso-bidi-language:="" mso-hansi-font-family:="" style="line-height: 150% font-family: "> که در پیش&shy;آزمون و پس&shy;آزمون توسط شرکت&shy;کنندگان هر دو گروه تکمیل گردید. </span></p> <p class="MsoNormal" dir="rtl" style="text-align: justify line-height: 150% margin: 0cm 0cm 10pt unicode-bidi: embed direction: rtl"><strong><span 14pt="" b="" font-size:="" mso-ascii-font-family:="" style="line-height: 150% font-family: ">یافت</span></strong><strong><span 14pt="" b="" font-size:="" gnlotus-bold="" mso-ascii-font-family:="" mso-bidi-language:="" style="line-height: 150% font-family: ">ه</span></strong><strong><span 14pt="" b="" font-size:="" mso-ascii-font-family:="" style="line-height: 150% font-family: ">&shy;</span></strong><strong><span b="" style="line-height: 150% font-family: GnLotus-Bold font-size: 14pt mso-ascii-font-family: GnLotus-Bold mso-bidi-font-family: "><span style="font-family: Calibri"> </span></span></strong><strong><span 14pt="" b="" font-size:="" mso-ascii-font-family:="" style="line-height: 150% font-family: ">ها</span></strong><strong><span b="" style="line-height: 150% font-family: GnLotus-Bold font-size: 14pt mso-ascii-font-family: GnLotus-Bold mso-bidi-font-family: "><span style="font-family: Calibri">:</span></span></strong><strong><span 14pt="" b="" font-size:="" mso-ascii-font-family:="" style="line-height: 150% font-family: "> </span></strong><span 14pt="" b="" font-size:="" kalinga="" mso-ascii-font-family:="" mso-bidi-language:="" mso-hansi-font-family:="" style="line-height: 150% font-family: ">نتایج حاکی از آن بود که<span style="mso-spacerun: yes">&nbsp; </span></span><span 14pt="" b="" font-size:="" mso-bidi-language:="" style="line-height: 150% font-family: ">درمان ذهن&shy;آگاهی مبتنی بر کاهش استرس</span><span 14pt="" b="" font-size:="" kalinga="" mso-ascii-font-family:="" mso-bidi-language:="" mso-hansi-font-family:="" style="line-height: 150% font-family: "> (</span><span 12pt="" b="" font-size:="" major-bidi="" mso-ascii-theme-font:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-hansi-theme-font:="" new="" style="line-height: 150% font-family: " times="">MBSR</span><span 14pt="" b="" font-size:="" kalinga="" mso-ascii-font-family:="" mso-bidi-language:="" mso-hansi-font-family:="" style="line-height: 150% font-family: ">) منجر به کاهش </span><span 14pt="" b="" font-size:="" mso-bidi-font-family:="" mso-bidi-language:="" style="line-height: 150% font-family: "><span style="mso-spacerun: yes">&nbsp;</span></span><span 14pt="" b="" font-size:="" kalinga="" mso-ascii-font-family:="" mso-bidi-language:="" mso-hansi-font-family:="" style="line-height: 150% font-family: ">معنی&shy;دار میانگین نمرات افسردگی در گروه آزمایش در مقایسه با گروه کنترل شد.</span></p> <p class="MsoNormal" dir="rtl" style="text-align: justify line-height: 150% margin: 0cm 0cm 10pt unicode-bidi: embed direction: rtl"><strong><span 14pt="" b="" font-size:="" mso-ascii-font-family:="" style="line-height: 150% font-family: ">نتیجه&shy;گیری</span></strong><strong><span b="" style="line-height: 150% font-family: GnLotus-Bold font-size: 14pt mso-ascii-font-family: GnLotus-Bold mso-bidi-font-family: "><span style="font-family: Calibri">:</span></span></strong><strong><span 14pt="" b="" font-size:="" mso-ascii-font-family:="" style="line-height: 150% font-family: "> </span></strong><span 14pt="" b="" font-size:="" kalinga="" mso-ascii-font-family:="" mso-bidi-language:="" mso-hansi-font-family:="" style="line-height: 150% font-family: ">نتایج این پژوهش نشان داد که </span><span 14pt="" b="" font-size:="" mso-bidi-language:="" style="line-height: 150% font-family: ">درمان ذهن&shy;آگاهی مبتنی بر کاهش استرس می&shy;تواند به عنوان یک برنامه درمانی مفید در کاهش مشکلات افسردگی بیماران مبتلا به کمر درد مزمن مورد استفاده قرار گیرد.</span></p> <p></p> <p align="left"><font face="TimesNewRomanPS-BoldMT">&nbsp;</font></p> <p align="left"></p> <p></p> <p align="left"></p> <p align="left"></p> <p align="left"></p> <p align="left"></p> <p></p> <p align="left"><font face="TimesNewRomanPS-BoldMT">&nbsp;</font></p> <p align="left"></p> <p align="left"><span style="font-family: TimesNewRomanPS-BoldMT"><font face="TimesNewRomanPS-BoldMT">&nbsp;</font></span></p> <p align="left"></p> <p align="left"><span style="font-family: TimesNewRomanPS-BoldMT"><font face="TimesNewRomanPS-BoldMT">&nbsp;</font></span></p> <p align="left"></p> <p></p> <p align="left"></p> <p></p> <p align="left"><strong><strong><font face="TimesNewRomanPS-BoldMT">Aim and Background:</font></strong></strong></p> <p align="left"><strong>&nbsp;</strong></p> <p align="left"><strong><span style="font-family: Times New Roman">The main purpose of this study was to investigate effectiveness of<font face="Times New Roman"> </font></span></strong></p> <p align="left"><strong><font face="Times New Roman">Mindfulness-Based Stress Reduction (MBSR</font></strong></p> <p></p> <p align="left"><strong>&nbsp;</strong></p> <p><strong><span style="font-family: Courier New">) </span> </strong></p> <p align="left"><strong><span style="font-family: Times New Roman">on decreasing depression in patients with chronic </span></strong></p> <p align="left"><strong>low back pain.</strong></p> <p></p> <p align="left"><strong><strong><span style="font-family: TimesNewRomanPS-BoldMT"><strong><font face="TimesNewRomanPS-BoldMT">Methods and Materials:</font></strong></span></strong></strong></p> <p align="left"><strong><strong>&nbsp;</strong></strong></p> <p align="left"><strong><strong><span style="font-family: Times New Roman">The statistical population included patients with chronic low back pain </span></strong></strong></p> <p align="left"><strong><strong>who appointed the pain clinics in Tehran. Among whom 23 participants were enrolled with</strong></strong></p> <p align="left"><strong><strong>convenience sampling and randomly assigned into two equal experimental and control groups.</strong></strong></p> <p align="left"><strong><strong>The questionnaire was consisted of the depression subscale of short form known as the depression</strong></strong></p> <p align="left"><strong><strong>anxiety stress scale (DASS -21) which was completed by the patients in pre-test and post-test</strong></strong></p> <p align="left"><strong><strong>formats.</strong></strong></p> <p></p> <p align="left"><strong><strong><strong><span style="font-family: TimesNewRomanPS-BoldMT"><strong><font face="TimesNewRomanPS-BoldMT">Findings:</font></strong></span></strong></strong></strong></p> <p align="left"><strong><strong><strong>&nbsp;</strong></strong></strong></p> <p align="left"><strong><strong><strong><span style="font-family: Times New Roman">The results of this research, using Mann-Whitney test, showed that the mean </span></strong></strong></strong></p> <p align="left"><strong><strong><strong>depression score in the experimental group has reduced significantly in comparison with the</strong></strong></strong></p> <p align="left"><strong><strong><strong>control group.</strong></strong></strong></p> <p></p> <p align="left"><strong><strong><strong><strong><span style="font-family: TimesNewRomanPS-BoldMT"><strong><font face="TimesNewRomanPS-BoldMT">Conclusions:</font></strong></span></strong></strong></strong></strong></p> <p align="left"><strong><strong><strong><strong>&nbsp;</strong></strong></strong></strong></p> <p><strong><strong><strong><strong><span style="font-family: Times New Roman">According to the findings of our study, the Mindfulness-Based Stress Reduction</span></strong></strong></strong></strong></p> <p></p> <p></p> <p align="left"><span style="font-family: Times New Roman">Therapy is significantly effective in decreasing depression in patients with chronic low back</span></p> <p align="left"><span style="font-family: Times New Roman">pain.</span><strong><span style="font-family: TimesNewRomanPS-BoldMT"><strong><font face="TimesNewRomanPS-BoldMT"> </font></strong></span></strong></p> <p><strong><strong><font face="TimesNewRomanPS-BoldMT">Keyw</font></strong></strong></p> <p></p> <p></p> 82 0 http://jap.iums.ac.ir/browse.php?a_code=A-10-25-14&slc_lang=fa&sid=1 Samira Masumian1, Mahmood Golzari2, Mohammad Reza Shairi3 Sirous Momenzadeh*4 سمیرا معصومیان، محمود گلزاری، محمدرضا شعیری، سیروس مومن زاده 100319475328460013549 100319475328460013549 No Ghodrat Akhavan-akbari1, Ali Mohammadian-erdi*2, Farnad Imani3 قدرت اخوان اکبری، علی محمدیان اردی فرناد ایمانی 100319475328460013550 100319475328460013550 Yes